Donna Dickstein, RN
Individual provider Active NPI Registered Nurse · Caratunk, ME
NPI 1306080692 · NPPES record last updated Jan 15, 2011
Key facts
- NPI
- 1306080692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R019620 (ME)
- Practice address
- 137 Deer Lane
Caratunk, ME 04925 - Phone
- (207) 672-4983
- Fax
- (207) 672-4983
- NPI assigned
- Apr 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R019620 | ME | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R019620 | ME | Yes |
Addresses
Primary practice location
137 Deer Lane
Caratunk, ME 04925
Mailing address
PO Box 128
Caratunk, ME 04925-0128
Phone (207) 672-4983
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.